医患关系何解?——医者患病经历文献述评

Resolving Doctor-patient Relationship:A Review of Literature on Doctors'Illness Experience

综述医者患病经历相关文献发现,医、患分野和矛盾植根于医学和医学模式本身,是在现代医学发展过程中被建构出来的,解决医患关系问题应着眼于审视和改变医学文化和医学模式内部造成医患矛盾、分歧的根本原因,创造机会打破严格的医、患角色区隔,实现病人得治、医者得安、医患共同。在医者患病经历文献中,能追溯医患同源的起点,能洞悉医患分化和冲突所在,也能看到形成医患共同体的可能性,为实现和谐医患关系指明方向。

A review of literatures related to doctors'illness experience shows that the distinction and contradiction between doctors and patients are rooted in the models of modern medicine,and are constructed in the development process of modern medicine.To solve the issues around doctor-patient relationship,we should focus on examining and changing the fundamental causes of doctor-patient conflicts and differences within medical culture and medical model,and create opportunities to break down the strict separation of roles between doctors and patients,facilitating a shared goal of patient healing,physician wellbeing,and collaborative efforts between doctors and patients.The literature on doctors'illness experiences serves as a valuable resource to trace the origins of shared doctor-patient experiences,understand the sources of differentiation and conflict,and envision the possibility of forming a doctor-patient community,and ultimately provide guidance for achieving harmonious doctor-patient relationships.